Organization
FIRST LADY RESIDENTIAL SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH ANN GANT (CEO/ OWNER)
(912) 508-3363
Entity
Organization
Contact information
Practice address
401 BARNHILL DR, SAVANNAH, GA 31406-5912
(912) 508-3363
(912) 925-5515
Mailing address
401 BARNHILL DR, SAVANNAH, GA 31406-5912
(912) 508-3363
(912) 925-5515
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/10/2015
Last updated
04/10/2015
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